Southwest City Community Clinic
LBN: Elk River Health Services, Inc.
Southwest City Community Clinic is an health care organization with primary practice located at 109 N Broadway St , South West City MO 64863-9417. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty.
Elk River Health Services, Inc. can be contacted via phone (417) 762-3287, or through Plumlee, Vicki via phone (417) 762-3287.
Contact Information
Primary practice address
109 N Broadway St
South West City MO 64863-9417
Phone: (417) 762-3287
Fax: (417) 762-3255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | Missouri | |
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | Oklahoma |
Profile Details
| NPI number | 1174522882 |
|---|---|
| LBN Legal business name | Elk River Health Services, Inc. |
| DBA Doing business as | Southwest City Community Clinic |
| Authorized official | Plumlee, Vicki |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 15th, 2005 |
| Last updated | Apr 15th, 2014 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174522882 | NPPES |
| Missouri | MEDICAID | 596813808 | |
| Missouri | MEDICAID | 506813815 | |
| Missouri | MEDICAID | 100713200A |
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